Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $4,684.68 / $8,728.00	Facility		$265.58	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $195.16 / $638.69	Professional		$124.56	$195.16	$638.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.43 / $307.56 / $473.55	Professional		$185.43	$307.56	$473.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.67 / $309.73 / $427.56	Professional		$228.67	$309.73	$427.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.80 / $289.11 / $394.33	Facility		$139.80	$289.11	$394.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.87 / $285.52 / $528.48	Professional		$195.87	$285.52	$528.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $202.17 / $300.16 / $360.46	Facility		$202.17	$300.16	$360.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.80 / $299.20 / $458.23	Facility		$139.80	$299.20	$458.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.43 / $332.12 / $475.26	Professional		$228.43	$332.12	$475.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,799.56 / $2,403.83 / $3,156.31	Facility		$1,799.56	$2,403.83	$3,156.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $233.71 / $342.05 / $505.97	Professional		$233.71	$342.05	$505.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.58 / $395.12 / $568.13	Professional		$257.58	$395.12	$568.13